Provider Demographics
NPI:1588096325
Name:CRABILL, STEVEN J (PHARM D)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:CRABILL
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N VINE ST
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61802-2717
Mailing Address - Country:US
Mailing Address - Phone:217-337-6551
Mailing Address - Fax:217-337-6183
Practice Address - Street 1:200 N VINE ST
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61802
Practice Address - Country:US
Practice Address - Phone:217-337-6551
Practice Address - Fax:217-337-6183
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-03
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-039667183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist